Attachment S-5 DCAA Rate Check Form.xls
XLS spreadsheet 47 KB Posted
- Attached to
- Maintenance Support for Inactive Ships in Bremerton, WA and CG/LSD Modernization Support in San Diego, CA
- Solicitation number
- N00024-17-R-4404
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Sheet1
| SOLICITATION # N00024-17-R-4404 | ||||||||||
| PART 1 (To Be Completed by Contractor) | ||||||||||
| 1. Contractor Name: | 3. Contractor CAGE Code: | |||||||||
| 1A. Contractor POC Name/Phone: | 4. RFP No. and/or Contractor's Prop. No.: | N00024-17-R-4404 | ||||||||
| 2. Contractor's Address | ||||||||||
| 5. Total Dollar Amount: | ||||||||||
| 6. Type of Proposal (FFP/CPFF/CPAF/CPIF/Other: | ||||||||||
| *Note: Primes may not propose T&M, subcontractors without approved accounting system may propose T&M | ||||||||||
| 7. Subcontractor To: (if applicable) | ||||||||||
| 8. Period of Performance: | ||||||||||
| 9. PROVIDE NAME, ADDRESS, TELEPHONE NUMBER AND E-MAIL ADDRESS FOR THE FOLLOWING (if available) | ||||||||||
| A. CONTRACT ADMINISTRATION OFFICE | B. AUDIT OFFICE | |||||||||
| 10. WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS WORK? (If "Yes," identify) | 11A. DO YOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT?(FFP ONLY) (If "Yes," complete Item 11B) | 11B. TYPE OF FINANCING (X ONE) | ||||||||
| 12. HAS THE CONTRACTOR BEEN AWARDED ANY CONTRACTS OR SUBCONTRACTS FOR THE SAME OR SIMILAR ITEMS WITHIN THE PAST 3 YEARS? (If "Yes," identify item(s), customer(s), and contract number(s)) | 13. IS THIS PROPOSAL CONSISTENT WITH ESTABLISHED ESTIMATING AND ACCOUNTING PRACTICES AND PROCEDURES AND FAR PART 31 COST PRINCIPLES? (If "No," explain) | |||||||||
| 14. COST ACCOUNTING STANDARDS BOARD (CASB) DATA (Public Law 91-379 as amended and FAR PART 30) | ||||||||||
| A. WILL THIS CONTRACT ACTION BE SUBJECT TO CASB REGULATIONS? ('If "No," explain in proposal) | B. HAS THE CONTRACTOR SUBMITTED A CASB DISCLOSURE STATEMENT (CASB DS-1 0R 2)? ('If "Yes,'" specify in proposal the office to which submitted and if determined to be adequate) | |||||||||
| C. HAVE YOU BEEN NOTIFIED THAT YOU ARE OR MAY BE IN NONCOMPLIANCE WITH YOUR DISCLOSURE STATEMENT OR COST ACCOUNTING SYSTEM? ('If "Yes," explain in proposal) | D. IS ANY ASPECT OF THIS PROPOSAL INCONSISTENT WITH DISCLOSED PRACTICES OR APPLICABLE COST ACCOUNTING STANDARDS? ('If "Yes," explain in proposal) | |||||||||
| PART 2 Contractors complete 15A and 15B "Proposed" categories and rates. DCAA please complete recommendations/basis for recommendation columns and address additional request for information | ||||||||||
| 15. INFORMATION REQUESTED: | ||||||||||
| 15A. Employee Name (if Proposed) | Proposed Labor Category | Base Year Proposed Rates | DCAA Recommended Rate | *Basis of DCAA Recommendation | 17. Requesting Office Information (to be completed by Contract Specialist) | |||||
| Contracting Officer | ||||||||||
| Phone Number | ||||||||||
| E-Mail Address: | ||||||||||
| Contract Specialist: | Lisa Carll | |||||||||
| Phone Number | 202-904-4573 | |||||||||
| E-Mail Address: | lisa.carll@navy.mil | |||||||||
| *Based on Floor Check/Audit Performed, etc and Date | ||||||||||
| 15B. Indirect Rates | Base Year | Option 1 | Option 2 | Option 3 | Option 4 | |||||
| Proposed: | DCAA Rates | Proposed: | DCAA Rates | Proposed: | DCAA Rates | Proposed: | DCAA Rates | Proposed: | DCAA Rates | |
| Contractor Site OH: | ||||||||||
| Government Site OH: | ||||||||||
| Fringe: | ||||||||||
| G&A: | ||||||||||
| Cost of Money: | ||||||||||
| Escalation: | ||||||||||
| *Include basis of recommendation/date | ||||||||||
| 16. ADDITIONAL INFORMATION (Contract specialist list information requested to be addressed by DCAA): | ||||||||||
| 1). If no audit has been performed within the last 12 months, please provide a copy of the contractor's most recent payroll run and a copy of the last audit report, if available. | ||||||||||
| 2). Please indicate if contractor has an approved accounting system in order to award a cost type contract. Include Audit Report Number and Date of when the accounting system was approved | ||||||||||
| 3). Additional info requested (uncompensated overtime, weighted averages, etc) |
&CSeaPort-e DCAA Rate Check Request &CPage &P of &N Yes No Yes No
ADVANCE PAYMENTS
GUARANTEED LOANS
Yes No Yes No Yes No Yes No
PROGRESS PAYMENTS
Yes No Yes No
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